Vaginal restoration is one of the most popular sections of plastic surgery. The operation allows to eliminate both aesthetic and functional defects of the genital organs. Vaginoplasty, including the reduction of the vaginal opening, has been successfully performed at clinics for a long time and helps patients to solve delicate tasks.
The vagina is a department of the internal genital organs of a woman, which serves to carry out sexual intercourse and the birth of a child. Normally, the vagina has the form of a slit, and its walls are practically in contact with each other. However, often after childbirth or with age, the entrance to the vagina may expand and, as a result, the quality of sexual intercourse and sexual satisfaction will be greatly reduced.
Reducing vaginal entry is a surgical procedure performed in the area of the upper layers of the vagina and aimed at restoring the functionality of the female sexual organ.
The main reason for the expansion of the vagina is natural childbirth. For the child to pass through the birth canal, the body increases the diameter of the vagina, but not always the walls retain their elasticity and are able to return to the previous state after birth. In some cases, this may be due to hormonal disorders or a decrease in the degree of contraction of the muscle fibers of the vagina due to the large number of puerperal scars. Stretched tissue of the vaginal opening primarily worsens the quality of a woman’s sexual life, entails psychological difficulties, and can also cause some diseases (urinary incontinence, prolapse of the uterus, etc.).
Indications for surgery
- congenital anomalies of the structure;
- stretching the vaginal opening after childbirth;
- omission of the vaginal walls;
- rupture of the inner walls;
- scars at the site of tears after childbirth, causing pain during intercourse;
- an increase in the vagina due to age-related changes or hormonal disorders;
- prolapse of the uterus;
- violation of the genitourinary system (urinary incontinence), lower abdominal pain;
- psychological problems due to dissatisfaction with sexual life, including difficulty reaching orgasm and insufficient intensity of sensations during sexual intercourse.
Preparing for vaginal restoration
Before deciding whether to undergo surgical intervention, the gynecologist must prescribe a comprehensive examination of the patient, during which she will conduct a vaginal examination to assess the condition of the walls and the entrance of the vagina, including muscle tone. Anesthesiologist’s consultation is also required to select the best option for anesthesia, to conduct a series of laboratory tests:
- general urine analysis;
- clinical and biochemical blood tests;
- blood test for HIV, hepatitis B and C;
- smear for infectious diseases of the vagina;
The doctor will ensure that the patient has no contraindications to this type of surgical intervention, tell her about the method of the operation, the expected duration, the selected type of anesthesia and the features of the rehabilitation period.
- disorders of the cardiovascular system;
- thrombophlebitis in acute form;
- sexually transmitted and inflammatory diseases of the genital organs;
- chronic diseases of the internal organs in the acute stage;
- pathology in the development of pelvic organs;
- bleeding disorders;
- pelvic organ prolapse;
- oncological diseases;
- mental disorders.
Course of operation
The clinic must be equipped with everything necessary for the application of various methods of vaginoplasty. Experienced surgeons perform operations to reduce the entrance to the vagina, the anterior and posterior colporrhaphy (suturing of the vaginal walls) in accordance with the tasks and individual characteristics of the woman’s body.
The operation to reduce the vaginal opening is usually performed under general anesthesia and lasts approximately 1 hour. If necessary, before the procedure, patients take muscle relaxants to achieve maximum relaxation of the vaginal muscles. The operation involves partial excision and suturing of the mucous tissues of the upper layers of the vagina (the so-called vestibule), while the scars that could remain after childbirth are removed. The result of the procedure is to strengthen and correct the size of the vaginal ring. However, the narrowing of the entrance to the vagina is performed only if the walls have sufficient elasticity and muscle tone, otherwise, colporrhaphy should be performed.
Colporrhaphy (anterior and posterior) is suturing of the mucous surface of the vagina. The surgeon makes a cone-shaped incision on the mucous membrane of the posterior or anterior wall of the vagina, and this section of tissue is removed, and the edges are tightened with cosmetic stitches, which leads to a decrease in the volume of the vagina. The procedure is performed using epidural (spinal) anesthesia and lasts 1-2 hours, depending on the amount of surgical intervention performed. As a result of this operation, the muscles of the walls of the vagina are strengthened, their elasticity improves and muscle tone increases, while no scars remain.
Rehabilitation after surgery
Just like any surgical intervention, vaginal restoration requires the recovery period. Usually, such operations are well tolerated, but, nevertheless, the first 2-3 days after the procedure should be spent at the clinic under the close supervision of specialists.
During surgery to reduce the entrance to the vagina, a surgeon usually attaches self-absorbable sutures, so their removal is not required. And due to the fact that the operation takes place on the mucous membrane, there are no scars and the incisions heal very quickly.
To speed up the rehabilitation process as much as possible, patients should follow the recommendations of the attending physician:
- observe bed rest in the first week after surgery, especially in the first 3 days;
- conduct regular antiseptic douches;
- follow the diet prescribed by the doctor;
- take painkillers and antibiotics prescribed by a doctor;
- do not sit in a position for 1-2 weeks after the procedure so that the seams do not separate;
- refuse vaginal sexual intercourse for 1.5-2 months;
- limit heavy physical activities, sports, as this can lead to muscle strain and deformation of the seams (within 1-2 months);
- undergo regular checkups with the doctor.
The latest methods and modern equipment in each individual case allow modern doctors to achieve the best results with complete safety and allow the patient to return to a happy, full life as soon as possible.